Hiring: Payment Integrity Analyst I-HP Benefit Configuration Company: CHRISTUS Health Location: Irving, TX Job Posted Time: 2026-09-13 14:50:12 Employment Type: Full-time Target Skills & Keywords : CPT, HIPAA, ICD-10, Medicare, Microsoft Excel, Microsoft Office, Quality Assurance, Root Cause Analysis About the job Experience: •0–1 year of experience interpreting complex provider agreements, claims adjudication, system configuration, and auditing. Required Skills: •Identify, analyze, and interpret trends or patterns in complex data sets. •Leverages available resources and systems (both internal and external) to analyze claim information and take appropriate action for payment resolution; documents all activity in accordance with organization policies. •Performs review of claim projects resulting from overpayments or underpayments related to benefits, contracts, and fee schedule defects. •Performs root cause analysis and financial impacts of identified defective claims. •Communicates findings, including trends and recommendations to appropriate leadership. •Research, maintain, test, and create fee schedule tables from data obtained from CMS, Tricare (CHAMPUS), or custom rates into the claims system. •Research, maintain, and create provider reimbursement contract configuration. •Partner cross-functionally with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals. Qualifications: •High school diploma or equivalent experience in healthcare claims adjudication, system configuration, and auditing •In-depth knowledge of healthcare claims data, pricing, and claims editing concepts, including UB04 and HCFA 1500 claim content •Strong working knowledge of health insurance concepts, practices, and procedures, including the understanding of provider payment methodologies and claims processing workflows, from receipt through final adjudication •Strong analytical and research abilities to triage issues and perform reconciliations or data analysis •Solid functional working knowledge of Federal and State regulatory rules regarding claims adjudication •Demonstrated capacity to organize and prioritize work to meet deadlines •Strong Microsoft Office application skills, including Microsoft Word and Excel (VLOOKUP, Pivot Tables, Index/Match, Formulas, and creating spreadsheets) •Strong organizational skills and the ability to manage multiple competing projects and deadlines •Excellent written and verbal communication skills •Good judgment, initiative, and problem-solving abilities Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!